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Permit CITY OF TIGARD ' c°` MASTER PERMIT 1111 COMMUNITY DEVELOPMENT /2, 2-t,' /2 4 Permit*: MST2017-00241 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2017 Parcel: 2S108DB01300 Jurisdiction: Tigard Site address: 15263 SW PEACE AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 11 Project: Polygon at Bull Mountain, Lot 11 Project Description: New SF. 12/20/2017: REPRINT permit to add 4th bathroom. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1531 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 4 Second: 2155 sf Garage: 740 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3686 sf Value: $458,365.06 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 6 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3686 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,163.82 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throu.. •'R 001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 'P --- ,f� Permittee Signature: �� / �lr �' �/� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ' - 7,1 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Tom H. DATE lePai "J EI) DEPT: BUILDING DIVISION DEC 1 3 2017 FROM: Nichole Thorpe CITY OF TIGA COMPANY: Pol BUILDING VISI N ygon Northwest PHONE: 360-989-4204 By, RE: 15263 SW Peace Ave MST2017-00241 (Site Address) (Permit Number) Polygon at Bull Mountian Lot 11 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 0 Additional set(s) of plans. 3 Revisions: Plan Sets- 4th Bathroom add 0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 0 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 0 Other(explain): REMARKS: Please pay fees owed with Trust Account. FOR OFFICE USE ONLY Routed to Permit Technician: Date: j a- i 9 7 Initials:—It Fees I t- Fees Due: 4 Yes ❑No Fee Description: Amount Due: 1 H - P) c..r rev ; ew $ 90 - $ $ Special $ Instructions: Reprint Permit(per PE): ( f Yes ❑No Xf Done Applicant Notified:/1/e c C Date: /2-/ > 2c I/9 Initials: q_11 -- /9/ I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 CITY OF TIGARD MASTER PERMIT III 2 ' COMMUNITY DEVELOPMENT Permit#: MST2017-00241 13125 SW Hall Blvd.,Ti Date Issued: 08/02/2017 T[,OAR.L and OR 97223 503.718.2439 9 Parcel: 2S108DB01300 Jurisdiction: Tigard Site address: 15263 SW PEACE AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 11 Project: Polygon at Bull Mountain, Lot 11 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1531 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 2155 sf Garage: 740 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3686 sf Value: $458,365.06 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 7 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3686 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $36,019.68 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �/ j_ ` �� "-�-`�"l Permittee Signature: C _ Gc��f/le ,,,/.f / Call 503.639.4175 by 7:00 a.m.for the next available inspection date. / This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit ApplicationFlECEIvE43 oT I ! �es�dela�tlal FOR OFFICE t SE ONL\ MAR 2 8 2017 Received ��/,/��7—t City of Tigard Dateive (iget7A PermitNoj/ 5.77,017 Lf 13125 SW Hall Blvd.,Tigard,OR 97223CITY OF TIGARD PlanReview _ ��t71 Other Permit: t/ Phone: 503.718.2439 Fax: 503.598.1�11„DIrjG DIVISION Date/By: 6 -a � � 7 ��'•� T'i G A RD Inspection Line: 503.639.4175 Date ReadyBy: / �0 / Juris. ® See Page 2 for Internet: www.tigard-or.gov Notified/Method:(cJ/�f� Supplemental Information `.' pz4 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all O Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ce= 57work indicated on this application. O 1-and 2-family dwelling 0 Commercial/mdustrial valuation. �$" Number of bedrooms: ❑Accessory building 0 Multi-family 0 Master builder 0 Other: Number of bathrooms: ?J Total number of floors: 2_ 36$41 4. Job site address:/S2103 t it L New dwelling areae square feet City/State/ZIP:Tigard,OR 97224 7 y O Garage/carport area: 1 140 square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch areal'a•7 b. square feetaJ 66— Cross street/directions to job site: Deck area: square feet 63 Other structure tarea: ,80 square feet Subdivision:Polygon at Bull Mountain Lot no.: 11 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet Number of stories: Name:Polygon WLH,LLC Type of construction: Address:109 East 13th Street Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Amount received: Phone:(360)695-7700 I Fax::( ) E-mail:Angela.Grajewski@polygonhomes.com Commercial and residential prescriptive installation of mounted Photovoltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 109 East 13th Street Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 I, Total fee due upon application: $201.60 Authorized signature: 140 1/ ,t., This permit application expires if a permit is not obtained 9/V VV within 180 days after it has been accepted as complete. Print name:Angela Grajewski Date:1/20/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , " . •-- - , ., ' . ' ,', Mechanical Permit Application I (li? Elf tit I •City of Tigard !, , .'":, `.,,,.-, bESIIIIIIIIIIIIIIIII=PM , 4 .. 13125 SW liall Blvd..Tigard,OR 97223 • Phone: 503.718.2439 Fax: 503.598_1.960, , -, , • • EIN11111111111111111111111111110 , Inspection Line:503.639.4175 .. g%,‘. •-• p 'lJy. burs- fa Sec Para'2 far 'Internet: wwwtigard-orgov Supplemennit information e , . ,.',xi•-'--;.-7P(-..<'i-: D,1:Q44:v...,: it's,-1::••.4..,--tf,x..:A.-fi4,,w;:--,1:-..,,v.i..4......Atc.‘, i.,,V',..a...V.Q.,,,,:,.•;,'„...i.6..,„.:,?,...,-'s...5.i.:.,.11 I -.:', ',;(;:'s-,v- : irteehanical permit fees*are banal on the value of the wort igl New construction 0 Addition/alteration/replacement perfumed,Indicate the value(rounded to the nearest dollar)of all ID Demolition 0 Other mechanical materials.equipment.labor,overhead.and profit. Value:$ ri,,,,g,',.;01,,,_::,..,;,4,-....4%,,.i;...-7.1gg'..4.e..l4(0 t. -',..,,,--.Y-g.,- t,'-i-r-in.v.-z-i.,-, i-_,.,. i -,'.7,-...'r,,,,:g.:3x.. rr.1-'06,,1/44.„),''',1:'-', ,. -- •- ....-., ...,,, -,-_..... . ...,‘ . .-• -., ,-•u-, -.. -. ..-G.Arr-4.'"a-774--..-..•,`,,i.:.g4--=,,,,,,g..-,..,..1,—.,..„rv,,,..4.,...,st.--,,w,,..,,,l,N -,4,,,,z------.'smw're,,k'--"- ""'""'"$,P ''''''''''' "-..1i-,',,,,,..;f: .#,:ifil-j;u"''4',:'e;s,;..:1,;* A.,: *.,..,,....-‘,k.4......,,, k! 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building Per spedal information use acalla Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total al.'::Xtr?-,"f,4,7. .ft.,),...'-:-.;'1.117"2.i*:31t.t..aLii....5.1A‘f,C-kiiinT'11.17,-31gt-IlkPli:-.:747,,:=:';e,4'"j::4-•:''.ai-i Hestinek4Glingl conditioning I 46.75 Job site address:/6-2to A svj I yl_ Furnace 100,000 BTU(ductsfvents) i 46.75 City/State/Z1P:Tigard,OR 97224 Pomace 100.000+BTU(deettNents1 , 54.91 1 Teat trump 61.06 Suite/bldgfapt.no.: 1 Project name Polygon at Bull Mountain Duct work 2332 • Cross street/directions to job site: Ilvdronit hot water system 2332 Residential bailer(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended.etc. 46.75 Fluehent for any of above I 2332 ...Other 23.32 Sotxlivision:Polygon at Buil Mountain I Lot no.:/if Ipther fuel appliances: _ Tax map/pared l no,: Water heater 09— 23.32 Gas flrcplacc/lnacrt1 33.39 ..,,,',,-....,:•_:-•, '"gi,-...';'.„:,;"..,;-..c-':,,,z-:`,''1-.....J.?-,=?..,q-11.f-t'O.',z1),E1, Z';-..!4:-,...,,•f.,-,A,,,,,4,:,..-..-,::::::5;-;',,..,,,,..i..:,-=',--)-,..,.:, Flue vent for water heater or fireplace 23.32 Log lighter(gas) 23.32 .., Wood/pellet stove 33.39 Wood tircolacclinscri 23.32 Chimney/liner/fine/vent 23.32 '..j'i..."."1:-;1"--;''..';‘:-`::',411',- .,0,-1.tt'A'i,";','4.t...,..`,;:t.;,:'-',.:,;*:.,f.';--.-1::;-,:.",,,,,,I7-1-Vh'AA,',1/4):.-;t1;•:".`,--;--z.:,.:: :,--;.:: "het , _, 23.32 -.......-A49',..:.,..--;.1].ar='..iq-:-:4-'4.-..:=4.1,fci::::,;41.,?.;,.:.,.._. _:-..A.1.:'..._•1 14.U.isa&i,,:iz:::;,-'.7.i,,..:4'.;.7,1,7,64!,....4.t.t-w4=',";'71::zt,;•J):::.1.7;1;'1,4; Eporonnieniat elbow bid ventilation: Name:Polygon W1,B,ILO Reap:hood/other kitc.hcu equipment 1 33.39 Address: 109 East 13d.Street Clot hes.d ryer exhaust I 33.3<, City/SlatelLIP:Vancouver,WA 98660 'Single-duet exhaust(bathrooms, ti. toilet compartments.utility rooms) 23.32 Phone:(360)69S-7700 Pax:( ) Afiielerawlapare fens . 23.32 * .7t;: O:;*:.?....,:;;FI''C,,],;.1:: .,:4Zn:-,!:,2': Other 21,32 Fuel piping; Business name:Polygon WLI1,1.1„,C $14.15 for first fear;$4.03 for each Additional Confect nante:Atithple 711 orpe . Furnace.etc. Address:109 East 13th Street Oat,heat pump 1 1 - WillIstispendedhmit heater . . City/State/21P:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::.(360)693-4442 Firephiee l Range 111If ' a 1.. I 94., .4444 . .,t. 616 Barbecue 2i:-.":::.:-::, ..::: :::;IfF-6:-.;..r.''el, qj,:f.):,i-L:',:f::::;...;;;:-..',:f•Inlii ,..1'-f--'-';'-;-=:;:iig•-;..-.,;.:-,•;,,i C1011145 tilYcr(P) Business name-.Apex Mr LIC Otiter Address:18804 NE/2"Ave Subtotal City/State/ZIP:Vancouver,WA 98686 • Minimum permit fee(590.08) • Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 Slate surcharge(12%of permit fee) CCS lie.:203034 .4,........ari TOTAL PERMIT FEE ,ThFiseepernimethirotioaplpoitzsieldoebyespfrerrei.coustylla perm moiit iarned.t4strfabtaistvvicarted*ithiniacard180 days after It has bear accepted as conspletn. Authorized signature' Print name:• i tiN, 1 1 I kEtulicgnipPsrmiuNEC_PermotApp_INDI 13 doe 4t3-45I7r(Itd32.#C0WWES) • Electrical Permit Application , tit()i iR I I si (r\€ \ 11 City of Tigard L` 13125 SW Hall Blvd..Tigard,OR 972.23.. . Plan Revicw - -- Phone: 503.718.2439 Fax: 503.598 �_ ' r. Int tLia.: 503,639.4175 ov75 g od, r`" Internet: www.tigard.or.gov ; _. 5,,� ' . _ ;.r.ia..•.„7... ....,>.&-...............•!...,�. .r-tis :`,.- '..� 3:'� .. _ _ ..._,.>_ ,,• New coon_._ Q'Addition/aiterati`on(replacement Please chock di t ux appy'(submit 2 rets• plans wins checked); °Service or feeder 400 amps or more O Building over dace stocks, 0 Demolition 0 Other: where the avitable fault mown O Marine and boatyrds. �.?�l f. r„1'`a , .: .... .3;•:.•, ,7 exceeds 10,000 sops at.1S0 volts or O Firedog brdlditrgs. '.? 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 D Commeaeial-use.siewltarat amps for all other iestuliatinas. buildings: 0 Multi-family 0 Master builder 0 Other O Fire pump. O lnwtlation of 150 KVA or —z rM 71,1:17.1',:.:17;:f2 t derived ` ;`vs ... Ty(- � p ( ,f r.3 Atyt` { "�.s '.r.�. � y y' . ❑Addition of naw tnolor load of. system. Job#: Job site address.r.,. I 11 / j i ' 100HPerr more. L]"A", ,-1-2",°-13", O e residential units. �C'ny/State/Z1P:Tigard,OR 97I24 OHedlth-wefacilities. © 1 vehicle parks. Supply Suitt/bldg./apt./a #: Project nasal r r r ❑Hazardous locations. O GOO vats av fifer more thee lZr iK j t1 /.... Li- r a ©Service or feeder 500 amps or more. • Cross strect/directions to job site: ''y y > l� Qw` E+3_ 7bW - New residential single-or mbl6-fainly dwelling unit. Subdivision' 0 fit.a [� A /111111 —BratLot#: Includes attached garage. . Tax map/parcel 4: 1,000 sq.R.or less p 168.54 4 : } ,u.;;17 i,�e' l ).�_=. V n .: _ t j :-11. En,add.'Soo sq.R.or portion l 0 33.92 1 IIIINMIMIIIIIIIIIIMIIIIIIIIIIIMIIIIIIIIIIIIIII Limited energy,residential 75.00 2 (with above sq.Il.) Limited eelergy,mulid-Iami}y 75.00 2 t ,•3 mtdemtai twih above sq.1t) Name:ADVL Land Holdings,LLC Renewable Energy D See Page 2 ' Services or feeders installationt and/or relocation Address:7600 EDoubletree Ranch Road 200 amps or less 100.70 2 City/State/ZUP:St ottsdale,AZ 85258 201 amps to 400 amps 133.56 2 Phone:(602)694-4031 Fax:( ) Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for safe,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over I,000ampsorvolts 552.26 2 Owner signature Date -� F„fter Temporary services or feeders installation,alteration,and/or ,...« ... s 3ti: '17,• ti..v^1F.CEt>r ,-�r.zra , �crS relocation Business name:William Lyon Homes,Inc. 200 amps or less 59.36 I Contact mune: r{A71; a . O1, 201 amps to 400 amps 125.08 2 Address:109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/4P:Vancouver,WA 98660Branch circuits—new,alteration,or extension, panel Phone:(360)695-7700 Fax;:(360)693-4442 A.Fee for branch circuits with above service or fteder fee. 7.42 2 ENr /j t a each branch circuit i/ i� • �4 V I J(/' ,/ ,r_r_ ' �4 S.Fee for branch circuits without ,7:-_-• ,. » ...,_n. -•-, _j7 .. -,11;.:-1.'1_2L-f:—d.. .scram or reader fee,first 56.18 2 Business name:alameda electric branch circuit Each add'1 brunch davit 7.42 2 Addt+ess:3415 ne 44th Miscellaneous(service or feeder sot included) City/State-MP:iiilld p, 1, . 01 Z 07 .2-/ Each manufactured or modular 67.84 2 ENIII�'�,� dwelling„service audios feeder Phone:(503)3192141 Reconnect ogby 67.84 ' . 5 Email:solarpd7t@mcconi Pump or irrigation circle 67.84 1'' Electrical Lic.: c923 Suprv.Lie.: of 07/5 - ,' Sign or outline lighting 67.84 2 Supty.Electrician signature,required: 'circuits)or limited-energy A( parxl,adtaation.arrxaension. 0 SerPagr:2. �- 3•l•l` Print i it 2d0 Dom' Z.? _Each additional laspeetion over allowable in any of the:above ^Additional inspecdon(i hr min) 66.251 hi-' ; - Atttboti rd signature: Print name: / Daus /4 Investigation(I hr aria) 90.0(v hr tic ININi{d fin ,C . ..,n.a.9RLdoc Revt6rjVSOIS 4404615-r(etlotICOMAVEB •;: Plumbing Permit Application h ''''r-,,' 1011. t�pl•li I 1 �1�. t)N1`s • Building Fixtures City of Tigard Received. Permit Na t 57-_).0 1 v �0 i,��yZG// th *. Datel6}- 13125 SW Hall Blvd.,Tigard,OR 9'};123 , Plan Review ether Permit No,: Phone: 503.718.2434 Fax: 503 59r I 0 , pateBY. ' loris ES See Page 2 for Inspection Line: 503 639 41.75 " , Date Readytiiy: Supplemental information l� Internet: ww�v ttgatd or got ohried/Mt x ,y n ws r- +a ` z •tii�W ,4?:h .'. tt 11 .. =,-,--41•M,- El r . `-'1,' ,1:-.';',',FA� � �+- � ��"''�-3 '��_x" �r�a ��.. .�z36 .,� ,.1. , . fSgP etlwd •.. ..�::�'Ol�a . -, -, .: , 1. special informatlo►r use checklist New construction 0 Demolition Description ( Qty. I Ea. 1 Total 0 Addinon/alteration/replarfEent ❑Other: i'ew.l-2.-family dwellings(includes 100 ft.for each utility connection) ,�;" SFR(1)bafh 31270 kit v e M �r 1.� ,.. SFR(2)bath 437.78 ®1-arid 2-family dwelling Q Commercial/industrial SFR(3)bath 1 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 • rr 45.1 EP_ t!•�°q 17' .fi is •!ri,i .4E. t'n'ill ,l•4t 4 .:.1,- ,r j _site utilities: ' ,-�", • , �•' :�rs� .� ,.k-��.• ..;. '"-�, .: ". ' Catch basin or area drain 1 18.76 1 - � S2 S � �� Job site address: _Catch leachr aa, crtoh drain 18.76 City/State/Z1P:.Tigard,O 24 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name:Polygon at Bull Mountain M.anufactured home utilities 50.03 Cross Streit/directions to jab site: Manholes 18,7618.76 Rain drain connector Sanitary sewer(no.linear ft.: ,.•) Page 2 Storm sewer(no.linear ft.: ) I Page 2 - Water,service(no.linear ft.: _) 1 Page 2 Subdivision:Polygon at.Bull Mountain 1 Lot no.:// Fixture or item: Backflow preventer [ 31,27 Tax map/parcel no.: t } rt rte`- Backwater'valve ] 12.51 ,4`7" 1, '. °' Ej ii ('.L :71V .. k,.t. 5 . is ',r 15. ,- CEath• 'aStlCr 12.51 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 `1,` 1t3{j' ''"�g'te �� � : Expansion tank 12.51 3'c 31. :.,- 5 •1,rA t'c)N ",` 1 ..'-.pi • - -, •.r' i,- , 2502 Fixture/sewer cap . Name:Pelygpn'Vk I.B..LLC Floor drain/floor sink/hub 25.02 Address:109 East 13th Street Garbage disposal 25.02 25.02 City/State12;1P:Vancouver,WA 98660 Hose bib 12.51 Phone:(340)695 7700 Fax ( ) Ice maker • : --4-7-::::41-,,,,,.-7,,,---0,,,,,. `". x 'z r ,;aza interceptor/grease trap 23.02 i� . , ti < � r .��SIF�y X3..2.,tr!5',.',/,,::Z-,k...-4:,.L.:.5., .�T.X�, Paget ,,.�,� r�: :,.,,-...._ _ _jMMedical'gas(value:S ) Business name:Polygon Win,LLC _Primer • 12.51 Contact name:,vj IkC4 ,,�bY Roof drain(commercial) 12.51 Address:109 East 13th Street r" Sink/basin/lavatory 25.02 Solar units(potable water) 62.54 City/Stale/ZIP:Vancouver,WA 98660 • Tub/shower/shower pan 12.51 Phone:(360)695-7700 1 Fax::(360)693-4442 .25.02 rUrinal E-mail'' f ,it 1 r; i ti,,...^',..,t1L Water Closet 25.02 s' .,, s :11:41.4.5: 5 E ' •-•::::,a ;'3!•••••'2_•,-.;.!;;;5:7"-: "': ,2__ 37.52 1 _ _"_ .a, .- ,'-1 e •,:tr...:2.• ':tom.._.. , , u-___•:<. . ...:vim 'Water beam. Business name:BDL Plumbing LLe Water piping/T)WV 56.29 Other: 21.02 Address:PO Box 85 _._ Subtotal City/Statc/ZlP:Corbett OR 97419 Minimum permit fear: $72.50 Phone:(503)351-3903 I Fax:( ) Plan review(25%of permit fee) 1 CCB Lic.:180345 I Plumbing t.ic,no.:P131582 State surcharge(12%of permit fee) I TOTAL PERMIT FEE Authorized signature: a --, 161 .-Z/� tit^C This permit application expires if a permit is not obtained within 1.30 days Print name:Brandon Canter late: atter hilar been accepted as complete. *Fee methodology set by Tri-CosmtY Building lndustty Service Board. 1:+Huilding3nrmhnV'LNltt-Petn+itdpp.dx 10101t09 440-us i dr(1 er02x:0hvwEa) R .. City of Tigard 71 ll COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Residential Building Permit #: M 57 /7 "o2c( ( Site Address: 15 3 $W P%A.cE AVE Project Name: 1'a(" K)ln C4 Zukl \o 4-civl Lot #: i1 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: r- 2 ' V Vi Verify site address/suite# exists and active in permit system. irg River Terrace Neighborhood: E No l[ "Yes,See River Terrace Review Addendum Attached Sit Plan Elements: ,�/Three(3) copies of site plan xtsting structures on site L`1 ite plan must be on 8-1/2"x 11"or 11 x 17"paper LJ Footprint of new structure(includingdecks)with finished P P tP IJ Drawn to scale(standard architect or engineer scale) floor elevations l,7�/'North arrow tility locations&easements(required for new and additions) L�JSite address,project or subdivision name and lot numberidewalk/driveway approach (Applicant information(name and phone number) Location of wells/septic systems L 'Lot dimensions and building setback dimensions Existing trees to be retained with drip line,and tree N la Square footage of buildings to be demolished protection measures N 1:i of area,building coverage area,percentage of coverage and Itreet tree size,type and location ��LLimpervious area(applicable if R-7,R-12,R-25&R-40) 2/Street names [ 1 roperty corner elevations (2 foot contour lines if more than ttorm water quality facility required if>1,000 sf of `t y, 4 foot differential) impervious area is created or replaced. r�{ Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified 16 No Received: ❑ Yes ❑ No le Public Facilities Improvement(PFI)Permit:p 5-0=Z1 Required: ❑ Yes,applicant was notified ❑ No Applied For: l /Yes ❑ No,stop intake Land Use Case#: f9103(5-(3OQ02 ,Lng: '(L-1{.s on 1v '%'equired Setbacks: Front 2c) Rear 15.„ Side C Street Side ICI Garage 2Q Aroii Landscape Requirement: % N Nh Lot Coverage Maximum: % 1-�..4,-`y .v/8-, 4• i-,: .?!: •qt..,,v P` ❑ Building Height: Maximum Height "30 Actual Height 4 Visual Clearance (Jfil Sensitive Lands: ❑ Yes X'No Type Urban Forestry Plan Conditions "Met"prior to issuance of buildin permit Notes: rictilikA GCJVI:0-N Dy1.5 of .UB2)tS-Go(5OZ cXY e 'r�aNiGIA4)I'1 Approved By Planning: Date: (Q �/ 11 Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 1:\Building\Forms\B1dgPennitRvw_RES_051617.docx t Building Permit Submittal Original Submittal Date: /9 3 � Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning Engineering Prnit Coordinator >IQ Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: p Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 7 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: •A... ,A ��.,�iiA7j/.,. Date: Engineering Review .2-Slope at building pad: S 26 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat -E---Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes if-No Assess Water Quantity Fee in-lieu: ❑ Yes ErNo LIDA Facility on lot: ❑ Yes 'No El NOT Approved by Engineering: Date: Notes: Approved by Engineering: A /1‹1-- e Date: 4 /7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved Cl Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: �� es El N/A Tigard Trans SDC: 0. Yes El N/A Parks SDC: ti Yes ❑ N/A LIDA El Yes ''N/A .6) OK to Issue Permit ( Date:ti(1)41V ,, � l� PPby Approved Permit Coordinator: I:\Building\Forms\BldgPermitRvw_RES_051617.docx . City of Tigard IIC w COMMUNITY DEVELOPMENT DEPARTMENT TIGARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: 152 3 5w VE1}c-E NE Project Name: To Inert c Butt lv(ouvl Ai Lot #: ‘ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.I.): Is the project subject to the plan district design standards? ❑ Yes CXNo 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An addi i.nal element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a Porch min. 5 ft. deep ft. deep min. 2ft., 5 ft.wide min. 2 ft.,Eft.wide Ga ed dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include wind.. s or entrance doors. Percentage Shown: 3. Entrances:At least one entrance must meet both of the following standards: ❑ Max. 8 ft. setback from longest street- facing wall ❑ Parallel to s. et,angle no more than 45° from street, or open ont. .orch Entrance opens to a porch: ❑ Yes ❑ No If yes,all the following apply: ❑ 25 :q.ft. min. ❑ One street facing entry ❑ 2 ft. max.roof above floor of porch ❑ 5 ft. depth min. a 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min .f five of the following elements on all street-facing façades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 5e I sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min.40%of s -et façade ❑ Window trim min. 2'/2"wide by 5/8" deep ❑ Window recess min. 3 inc,es for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wid' x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street façade 5. Garages and C. sorts:May face the front or side lot line on a corner lot. Setbacks: No closer to ont or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May e. end up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ M. extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story abo-e the garage that faces the street with a min. area of 12 sq.ft. ''idth: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street facade ❑ 50%max. of street facade with 7 detailed design elements Notes: vb}- 54144_ ---a 42511 Ct yi 08_ ii, Q5 t/104.t/104. cyi PD ) Approved By Planning: Date: I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15263 SW PEACE AVE, TIGARD, OR, 97224 April 13, 2018 at 9:26:45 AM Record Type: Record ID: Residential - Master Permit MST2017-00241 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed . Water pressure = 50 psi Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15263 SW PEACE AVE, TIGARD, OR, 97224 April 13, 2018 at 9:24:07 AM Record Type: Record ID: Residential - Master Permit MST2017-00241 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15263 SW PEACE AVE, TIGARD, OR, 97224 April 13, 2018 at 9:22:32 AM Record Type: Record ID: Residential - Master Permit MST2017-00241 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed A/C installed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15263 SW PEACE AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00241 Inspection Type: Inspector: 299 Final inspection Allyson Armstrong Result: PASS - CofO Comments: Corrections complete Collected Moisture content acknowledgement form Moisture barrier acknowledgement form High efficiency lighting form Air leakage test report Left C of 0 on the counter Violation Summary: Inspector Contractor